Kerstin Keene Blomquist Haffey, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1709 Issued in SC

Practice address

305A Old Buncombe Rd
Travelers Rest, SC 29690-1817

Phone

(864) 305-5990

NPI assigned

Mar 25, 2022

Last updated

Mar 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kestin K Blomquist Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1417607284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305A OLD BUNCOMBE RD",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901817",
            "telephone_number": "615-403-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305A OLD BUNCOMBE RD",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901817",
            "telephone_number": "864-305-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFFEY",
        "first_name": "KERSTIN",
        "middle_name": "KEENE BLOMQUIST",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KESTIN",
            "last_name": "BLOMQUIST",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "PH.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dina C Graham, PHARM.D., R.PH.
• Ethan Ryder Gray
• Rachael Marie Green, LPC
• Greenville Health System (GHS Greenville Mem Subacute)
• Greenville Health System (GHS North Greenville LTACH)
• Katherine Haitz, LISW-CP
• Sarah Nunn Hall, CPNP-PC APRN
• Tracy Rogers Hall, PT
• Irvin Stack Harmon Jr., RPH
• Hayley M Harris, PHARM. D.

• Clinical Psychologist in Travelers Rest, SC
• Providers in Travelers Rest, SC by specialty
• Clinical Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.